DIETARY DIVERSITY. Sandra Remancus, FANTA Abizari Abdul-Razak, University of Development Studies, Ghana. Peggy Koniz-Booher,

Transcription

1 DIETARY DIVERSITY Sandra Remancus, FANTA Abizari Abdul-Razak, University of Development Studies, Ghana Food and Nutrition Technical Assistance III Project (FANTA) Margaret Armar-Klemesu, FHI Connecticut University Ave., of NW Ghana Washington, DC Peggy Koniz-Booher, Tel: SPRING Fax: Website: January 19, 2016

2 Presentation Outline Why dietary diversity is important and review of evidence on multisectoral approaches to address it Tool to assess availability and access to a diverse diet Approach to assess behaviors and preferences related to diet Examples of programming to improve individual and household behaviors related to dietary diversity 2

3 USAID Indicators of Dietary Diversity MSN Strategy outcome level indicator: - Women s DD score in USAID-assisted countries FTF indicators (1) Prevalence of children 6-23m receiving a minimum acceptable diet (2) Women s DD: Mean # of food groups consumed by WRA Prevalence of women WRA who consume targeted nutrient-rich value chain commodities Prevalence of children 6-23m who consume targeted nutrient-rich value chain commodities FFP - Average household dietary diversity score (HDDS) - Proportion of women of reproductive age who are consuming a minimum dietary diversity 3

4 Why measure dietary diversity? A proxy indicator for household food access A proxy indicator for assessing the micronutrient adequacy of women s diets 1. Grains, white roots, tubers, plantains 6. Eggs 2. Pulses (beans, peas, lentils) 7. Dark green leafy vegetables 3. Nuts and seeds 8. Other vitamin-a rich fruits & veg 4. Dairy 9. Other vegetables 5. Meat, poultry and fish 10. Other fruits A proxy for adequate micronutrient density of foods for children 6-23m 1. Grains, roots, tubers 5. Eggs 2. Legumes and nuts 6. Vitamin-A rich fruits and vegetables 3. Dairy 7. Other fruits and vegetables 4. Flesh foods (meat, fish, poultry, organs) Hoddinott and Yohannes, Dietary Diversity as a Household Food Security Indicator, FANTA, May 2002 Journal of Nutrition, 2010; FAO, Moving Forward on Choosing a Standard Operational Indicator of Women s Dietary Diversity, 2015 WHO,

5 Multisectoral Approaches to Improving Dietary Diversity Interventions to improve availability and access to a diverse diet Animal husbandry, livestock, dairy production and aquaculture Horticulture, home gardens Conditional cash transfers Food storage and preservation Interventions to improve foods Biofortification Interventions to improve utilization SBCC Taren and Alaofè, Feed the Future Learning Agenda Literature Review,

6 Improving Impact of Dietary Diversity Interventions Target the right populations women, vulnerable Make nutrition outcomes explicit Understand the context formative, qualitative, qualitative research and assessments Strengthen behavior change and uptake SBCC Continue to determine what works monitoring, impact evaluations, research 6

7 This presentation is made possible by the generous support of the American people through the support of the Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, U.S. Agency for International Development (USAID) under terms of Cooperative Agreement No. AID-OAA-A , through the Food and Nutrition Technical Assistance III Project (FANTA), managed by FHI 360. The contents are the responsibility of FHI 360 and do not necessarily reflect the views of USAID or the United States Government. 7